Based on public Medicaid payment data.
Kyle Patrick Elmore
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
3268 Greyling Dr
San Diego, CA 921232230
Phone
8586170620
NPI
1639899271
Procedures
4
Total Claims
3.7K
Patients Served
3.1K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $68.33 | 2,621 | 2,621 |
| Tooth Extraction | $57.20 | 573 | 191 |
| Dental Filling | $68.09 | 526 | 301 |
| Dental Crown | $476.00 | 16 | 12 |
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